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Endoscopic ultrasonography as a therapeutic modality

机译：内镜超声检查作为治疗手段

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PURPOSE OF REVIEW: Endoscopic ultrasonography (EUS) has taken on more of a therapeutic role in recent years. This review will focus on the therapeutic applications of EUS. RECENT FINDINGS: Multiple studies on the therapeutic applications of EUS have been published. EUS facilitates endoscopic drainage of pancreatic fluid collections (PFCs) including walled-off pancreatic necrosis, management of refractory gastrointestinal bleeding from gastric varix or vasculature by fine-needle injection and decompression of obstructive pancreatic or biliary ductal systems following failed access by standard endoscopic or radiological techniques. SUMMARY: The indications and role of therapeutic EUS have expanded rapidly in recent years. The procedures can be technically challenging, requiring expertise in both endosonography and endoscopic retrograde cholangiopancreatography. Refinement in echoendoscope design and dedicated accessories are required to further expand the applications of therapeutic EUS.
机译：审查的目的：近年来，内镜超声检查（EUS）发挥了更多的治疗作用。本文将重点探讨EUS的治疗应用。最近的发现：有关EUS治疗应用的多项研究已经发表。 EUS有助于内窥镜下引流胰液收集物（PFC），包括壁化胰腺坏死，通过细针注射处理胃静脉曲张或脉管系统引起的难治性胃肠道出血以及通过标准内窥镜或放射学无法通行的阻塞性胰腺或胆管系统减压技术。摘要：近年来，治疗性EUS的适应症和作用迅速扩大。该程序在技术上可能具有挑战性，需要在超声内窥镜检查和内镜逆行胰胆管造影术方面都需要专业知识。需要进一步完善超声内窥镜设计和专用附件，以进一步扩大治疗性EUS的应用范围。

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